脑卒中后吞咽困难的临床及影像学表现对不良结局的预测价值

被引：11

作者：

张婧

王拥军

张姗姗

机构：

[1] 首都医科大学附属北京天坛医院神经内科

[2] 第二军医大学附属上海长海医院普外科

来源：

中国康复理论与实践 | 2004年 / 09期

关键词：

脑卒中; 吞咽困难; 电视透视检查; 临床评定; 预后;

D O I：

暂无

中图分类号：

R743.3 [急性脑血管疾病（中风）];

学科分类号：

摘要：

目的探讨临床及电视透视检查下特征对误吸、安静误吸、肺炎、营养状态等结局的预测价值。方法对临床评定及电视透视检查下的各种表现分别与穿透、误吸、安静误吸、住院期间肺炎、出院时营养状态分级等作 χ2 检验 ,以有统计学意义的表现为自变量对结局作Logistic回归分析。结果临床表现可预测某些电视透视检查下的特征。并得出能够预测误吸、安静误吸、住院期间的肺炎及出院时的营养状态的临床表现和电视透视检查表现。结论了解临床和影像学检查对误吸、肺炎及营养状态的预测价值对临床有指导意义

引用

页码：28 / 31

页数：4

共 11 条

[1] Quantifying fluid intake in dysphagic stroke patients: a preliminary comparison of oral and nonoral strategies. Finestone HM,Foley NC,Woodbury MG,et al. Archives of Physical Medicine and Rehabilitation . 2001
[2] Strokerehabilitation.2.co morbiditisandcomplications. BlackSchafferRM ,,KirsteinsAE,HarveyRL. Archphysmedrehabil . 1999
[3] Complicationandoutcomeafteracutestroke. SmithardDG,O’NeillPA,ParkC ,etal. Stroke . 1996
[4] Dysphagiainpatientswithbrainstemstoke.Incidenceandoutcome. MengNH,WangTG,LienIN. AmJPhysMedRehabil . 2000
[5] Brain stem infarct with pharyngeal dysmotility and paralyzed vocal cord: management with a multidisciplinary approach. Saltzman LS,Rosenberg CH,Wolf RH. Archives of Physical Medicine and Rehabilitation . 1993
[6] Dysphagia following stroke: quantitative evaluation of pharyngeal transit times. Johnson ER,Mckenzie SW,Rosenquist J,et al. Archives of Physical Medicine and Rehabilitation . 1992
[7] Quantifying swallowing function after stroke: a funtcion dysphagia scale based on videofluoroscopic studies. Han TR,Paik NJ,Park JW. Archives of Physical Medicine and Rehabilitation . 2001
[8] Aspiration and relative risk of medical complications following stroke. Holas MA,Depippo KL,Reding MJ. Archives of Neurology . 1994
[9] Recoveryofswalloingafterdysphagicstrokerelatestofunctionalreorganizationintheintactmotorcortex. HamdyS,AzizQ,RothwellJC ,et al. Gastroenterology . 1998
[10] AGA technical review on management of oropharyngeal dysphagia. Cook IJ,Kahrilas PJ. Gastroenterology . 1999

← 1 2 →